Slipped Capital Femoral Epiphysis

Fouad Chaudhry - Slipped Capital Femoral Epiphysis (SCFE) is a disorder of the proximal femoral metaphyses where the metaphysis slips anteriorly and superiorly while the epiphysis remains in place.

- SCFE is more common in boys, individuals of African and Polynesian descent, and usually affects the left side.

- Common symptoms include localized groin, thigh, or knee pain, limping, and a history of minor trauma. The leg may appear shortened and externally rotated.

- Diagnosis is primarily based on plain X-rays, including AP and lateral views, which may show radiological features such as the ethylene sign, decreased epiphyseal height, increased distance between the teardrop and femoral neck metaphysis, and irregularity of the physeal line.

- Treatment aims to prevent further slip progression and complications. Stable slips are typically managed with in situ pinning, while unstable slips may require open reduction. Other considerations include the timing of surgery, treatment of the unaffected side, and avoiding complications such as avascular necrosis.

This teaching video is specifically helpful for candidates preparing for the following Orthopaedic Exams : FRCS , European Board (FEBOT) , SICOT Diploma and Arabic Boards

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